Physician
National Capital Nephrology, PC
National Capital Nephrology, PC was paid $848K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoNATIONAL CAPITAL NEPHROLOGY, PC
WASHINGTON, DC 20010
WASHINGTON, DC 20010
33aNPI1912177049assigned 03/04/2008
33bProvider typeNephrology Physician
28Total paid$848K
24GClaims24,319
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Nephrology Physician providers in District of Columbia
Rank by total paid#2 of 6
Median peer was paid$215K
This provider vs. median4.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,755 | $89K | |
| 2019 | 4,052 | $68K | |
| 2020 | 3,531 | $70K | |
| 2021 | 3,155 | $81K | |
| 2022 | 2,411 | $106K | |
| 2023 | 3,247 | $208K | |
| 2024incomplete | 3,168 | $226K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 34% | 4,514 | 4,233 | $288K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 33% | 8,871 | 2,388 | $277K |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 18% | 5,348 | 5,246 | $149K |
| 99223 | Prolong inpt eval add15 m | 8.1% | 840 | 801 | $69K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 2.8% | 1,634 | 553 | $23K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 449 | 415 | $14K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 92 | 88 | $9K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 151 | 141 | $7K |
| 90961 | <1% | 798 | 791 | $7K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 518 | 226 | $4K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 41 | 28 | $2K |
| 99442 | <1% | 61 | 61 | $234.55 |
3 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHEGDE, AROTI (PRESIDENT)